Aesthetic Surgery Center Llc

NPI 1154766343 - Clinic/Center - 261QA1903X

NPI Details
NPI 1154766343
Enumeration Date 05/02/2013
Last Updated 03/18/2014
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name FREDRIC FREDRIC
Position PRESIDENT
Phone (203) 656-9999
Fax (203) 655-0099
Practice Location
722 POST RD
DARIEN CT, 06820-4744, US
Phone (203) 656-9999
Fax (203) 655-0099
Business Location
722 POST RD
DARIEN CT, 06820-4744, US
Phone (203) 656-9999
Fax (203) 655-0099
Toxanomy
Taxonomy Code 261QA1903X
License State Connecticut
License Number 0317
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According to our database, Aesthetic Surgery Center Llc NPI is 1154766343, taxonomy code is 261QA1903X and license number is 0317, license state is located at Connecticut. Aesthetic Surgery Center Llc physically located at 722 Post Rd, Darien CT, 06820-4744. NPI Number 1033115704 has the healthcare provider type.

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1154766343 NPI number is provided on an as is basis without warranty of any kind. 1154766343 is maintained by the National Plan & Provider Enumeration System. The contents of Aesthetic Surgery Center Llc are for informational purposes only.